Individual
DR. MICHAEL NEIL FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2790 CLAY EDWARDS DR, SUITE 570, N KANSAS CITY, MO 64116-3276
(816) 455-8900
(816) 455-8901
Mailing address
2790 CLAY EDWARDS DR, SUITE 570, N KANSAS CITY, MO 64116-3276
(816) 455-8900
(816) 455-8901
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000679
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083821904
GROUP NPI NUMBER
MO
01
—
22440035
BCBS
MO
05
—
308093905
—
MO
01
—
480033263
MEDICARE RAILROAD
MO
Enumeration date
06/28/2006
Last updated
07/30/2014
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